Page 212 - 2021 IDMT Digital
P. 212

HYPERTENSION CONTINUED
          Plan:
             •      GD\ %3 FKHFN
             •  ,I SDWLHQW KDV DQ H[LVWLQJ GLDJQRVLV RI +71  EXW LV QRW FRPSOLDQW ZLWK PHGLFDWLRQV
                FRPPRQ
                  o  &RQVLGHU VXSHUYLVHG GDLO\ LQWDNH RI PHGLFDWLRQ
             •  $V\PSWRPDWLF K\SHUWHQVLRQ GRHV QRW JHQHUDOO\ UHTXLUH HYDFXDWLRQ
                  o  +RZHYHU, UHFRPPHQG SUHFHSWRU FRQWDFW LI ! 3     RQ DW OHDVW WZR GLIIHUHQW
                    GD\V
             • There are several potential medications for treatment with which you
               should be familiar but IDMTs do NOT treat HTN. Target BP <130/90.
                  o ACE Inhibitors (lisinopril, benazapril)  }
                  o ARBs (valsartan, losartan)                  First Line therapies
                  o CCBs (Calcium Channel Blockers - amlodipine, nifedipine)
                  o Thiazides (hydrochlorothiazide)
                  o Beta Blockers (metoprolol, carvedilol (mixed beta and alpha)
          Patient Education:
            •  /RZ VRGLXP GLHW
            •  ([HUFLVH
            •  :HLJKW ORVV
            •  0RQLWRU %3 GDLO\ LI SRVVLEOH
            •  )ROORZ XS $FWLRQV
                 o  5HWXUQ IRU KHDGDFKH  FKHVW SDLQ  VKRUWQHVV RI EUHDWK
          Preceptor Directive:
            •  Blue Directive: Contact Preceptor Immediately



































                                         [ 211 ]
   207   208   209   210   211   212   213   214   215   216   217